Vargas Emily A, Mahalingam Ramaswami
Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Department of Psychology, East Hall, University of Michigan, Ann Arbor, MI, USA.
J Patient Exp. 2020 Aug;7(4):615-620. doi: 10.1177/2374373519878037. Epub 2019 Sep 24.
Incivility is one of the most prevalent forms of interpersonal mistreatment. Although studies have examined the full range of experiences of incivility against nurses and other hospital personnel, very few studies examined the forms of incivility that patients face in a hospital.
To empirically investigate the range of uncivil experiences targeted against patients. Our study furthers our understanding of the phenomenology of incivility from the patients' perspective.
We used interpretative phenomenological analysis to analyze participant's (n = 173) experiences of incivility in a hospital.
We identified 6 major themes of incivility, namely Insensitivity, Identity Stigma, Gaslighting, Infantilization, Poor Communication, and Ignored.
The findings highlight that instances of incivility are present in almost all aspects of the patient experience and take on unique forms, given the patient's role in the hospital. Implications for health consequences are discussed.
不文明行为是人际虐待中最普遍的形式之一。尽管已有研究考察了针对护士和其他医院工作人员的各种不文明行为经历，但很少有研究探讨患者在医院所面临的不文明行为形式。
实证调查针对患者的不文明经历范围。我们的研究从患者角度进一步加深了我们对不文明现象学的理解。
我们采用解释现象学分析方法来分析173名参与者在医院的不文明经历。
我们确定了不文明行为的6个主要主题，即冷漠、身份污名、心理操控、 infantilization（这个词可能有误，推测可能是“婴儿化对待”之类意思，暂按字面）、沟通不良和被忽视。
研究结果表明，鉴于患者在医院中的角色，不文明行为几乎存在于患者体验的各个方面，并呈现出独特的形式。文中还讨论了其对健康后果的影响。
